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APPL.� /� SERVICE <br /> NO. 1 �7d1`' CITY OF EVFRETT ORDER N° 7154 <br /> APPLICATION FOR WATER SERVICE // � q <br /> rp FIXED X907 y DATE��/ <br /> DEPOSITS pis TO POSTING -zt-9y W.0. <br /> '' l NO._— <br /> SERVICE IOY AODRrASl�a_ ` tj Q <br /> OWNER_ V nr°� [(JR/'rJ <br /> —_CONTRACTOR___ <br /> INSTAL METERED <br /> I HEREBY APPLY FO WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EX13TING <br /> OR AS SAME MAY BE HEREAFTER CHANGED SIGNED: X <br /> MATERIAL[ 14 IN. 1 IN. 1 IN. I - I ---PRIG[ AMOUNT <br /> PIPE _ _ COPPER-- GALV. -- STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX _ PLASTIC _ C I �I <br /> METER VALVE wr <br /> METER NO. J�a 3 7 _ _ TYPE:_ 4'I4t� <br /> METER BOX CONCRETESMALL LARGE <br /> /A ON <br /> DATE INSTALLED:e>'/ �7 /J ��/ �y I r-1 SUB TOTAL <br /> CODE 77� O� / LABOR AND EOUIPMENf RENTAL HOURS RATE <br /> .__-1�11J{��G-?dkgfrJfl-iBRV� <br /> applications w0out a <br /> Backflow Prevention Consultation TOTAL <br /> REMARKS: <br />